Individual
PANISSARA NATALIE TEERAANUKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8905 W POST RD STE 110, LAS VEGAS, NV 89148-2429
(702) 825-5553
(702) 825-5552
Mailing address
8905 W POST RD STE 110, LAS VEGAS, NV 89148-2429
(702) 825-5553
(702) 825-5552
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
810153
NV
Other
Enumeration date
12/19/2023
Last updated
09/15/2025
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